MENTORING APPLICATION Name* First Last Your business name* Phone number:* Address:* Your Email Address:* Business website URL: https://* Social Media LinksPlease tell me about your business. How long have you been in business? Whom do you serve, and how?*What do you love about your business?*What is working well, in your business?*What is the single biggest challenge you face in your business?*What steps have you taken, to address this challenge?*What brings you to me at this time? What would you like to accomplish by working with me?*Is there anything else you’d like me to know about you?*Finally, how did you connect with me? If you have taken a class or program with me, or had a single strategy session with me, please let me know that too.*Check the box below that applies to you.* I have not worked with you before, and am applying for a 3-month mentoring immersion. I have worked with you before and am applying for a 6-month mentoring immersion I have worked with you before and am applying for a 1-year mentoring immersion When would you like to begin your program?* Now or as soon as an opening becomes available In the next three months Please save a copy of your responses for your own records before submitting the form online.